The role of patelloplasty in total knee arthroplasty

Cerciello, Simone; Robin, Jonathan; Lustig, Sébastien; Maccauro, Giulio; Heyse, Thomas J.; Neyret, Philippe

doi:10.1007/s00402-016-2577-7

Cited by 24 publications

(19 citation statements)

References 26 publications

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“…This procedure is conducted with or without a resection of cartilage layer. 22 Unfortunately, this is not a well-standardized procedure. There are no specific and worldwide-recognized steps of procedure.…”

Section: Patelloplastymentioning

confidence: 99%

“…They also correlated the results to postoperative patella thickness, but they found no significant correlation. The first systematic review focusing on patelloplasty in primary TKA has been conducted by Cerciello et al 22 about clinical results, the comparison between patelloplasty and simple denervation and osteophytes removal revealed lower AKP in patelloplasty (2.9% vs. 4.6%), as well better clinical outcomes at KOOS, KSS, and Feller patellar score. 22 61 62 63…”

Section: Patelloplastymentioning

confidence: 99%

“…Patelloplasty has been defined as the surgical options aiming at the improvement of the congruency between the patella and the trochlea, conducting a real reshaping of the patella. 22…”

Section: Introductionmentioning

confidence: 99%

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The Challenge of Managing the “Third-Space” in Total Knee Arthroplasty: Review of Current Concepts

Antinolfi

Manfreda

Placella

et al. 2018

Joints

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Total knee arthroplasty (TKA) is the best treatment for advanced knee osteoarthritis and it has proven to be durable and effective. Anterior knee pain (AKP) is still one of the most frequent complications after TKA, but sometimes no recognized macroscopic causes can be found. The correct treatment of patella is considered the key for a proper management of AKP. The inclusion of patellar resurfacing during TKA has been described as a potential method for the reduction of AKP. After surgeons started to resurface the patella, new complications emerged, such as component failure, instability, fracture, tendon rupture, and soft tissue impingement. Patelloplasty has been proposed as a good alternative to resurfacing but whether or not to resurface the patella is still a controversial topic in the literature. Therefore, patellofemoral joint is a complex critical aspect in TKA and choosing between the several options of treatment of patella could not be sufficient. In this review, evidence-based studies do not succeed in resolving this difficult argument. The accurate management of the so-called “third space” should include an accurate assessment of cartilage layers, balance of soft tissue, preoperative anterior tracking, and positioning of the femoral and tibial components. In fact, the selection of suitable implants and adherence to proper surgical technique are the fundamental principles for the success of TKA.

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Section: Patelloplastymentioning

confidence: 99%

Section: Patelloplastymentioning

confidence: 99%

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The Challenge of Managing the “Third-Space” in Total Knee Arthroplasty: Review of Current Concepts

Antinolfi

Manfreda

Placella

et al. 2018

Joints

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“…The debate on total knee replacement (TKR) is therefore always more intense in order to perfect the technique. 2-4 The focus is on many variables that can affect the outcomes of TKA, including preoperative clinical plan, implantation technique, selection of implant materials and intra- and postoperative strategies. 5-6 …”

Section: Introductionmentioning

confidence: 99%

“…The debate on total knee replacement (TKR) is therefore always more intense in order to perfect the technique. [2][3][4] The focus is on many variables that can affect the outcomes of TKA, including preoperative clinical plan, implantation technique, selection of implant materials and intra-and postoperative strategies. [5][6] In the following discussion, our review is located and focused on the application of postoperative intraarticular wound drainage in total knee prosthetics.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of postoperative drainage in total knee arthroplasty: Review of the literature

et al. 2020

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Postoperative drainage after total knee arthroplasty (TKA) is an established routine procedure for orthopedic surgeries, and is considered a useful practice in postoperative, but the use of drainage is controversial. Our study aims to clarify this aspect of knee prosthetic surgery. A systematic review of the literature was performed in the electronic databases to investigate the risks and the benefits of wound drainage in total knee arthroplasty: 30 articles were included in our review for eligibility. After the analysis of the literature performed, we found no significant advantages related with the use of wound drain following total knee replacement (TKR) in terms of pain, transfusion rate, blood loss, swelling, postoperative range of motion, wound complications, deep infection and hospital stay, while no drainage means a significant cost saving compared to drainage use. Thus, the use of drainage after TKA cannot be justified on the basis of the results of this study.

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Patella Replacement in Knee Arthroplasty: A Japanese Perspective

Takahashi¹

2022

Essentials of Cemented Knee Arthroplasty

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The role of patelloplasty in total knee arthroplasty

Abstract: 4, systematic review.

Cited by 24 publications

References 26 publications

The Challenge of Managing the “Third-Space” in Total Knee Arthroplasty: Review of Current Concepts

The Challenge of Managing the “Third-Space” in Total Knee Arthroplasty: Review of Current Concepts

Efficacy of postoperative drainage in total knee arthroplasty: Review of the literature

Patella Replacement in Knee Arthroplasty: A Japanese Perspective

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